| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,721.00 | $6,176.86 | $15,443.73 | |
Anthem BCBS
| Facility | $2,574.73 | $5,850.00 | $8,870.02 | |
Cigna
| Facility | $4,774.00 | $17,740.00 | $23,653.00 | |
Kaiser Permanente
| Facility | $11,590.00 | $11,590.00 | $11,590.00 | |
Oscar Health
| Facility | $4,334.00 | $6,504.84 | $9,180.40 |